乳腺计算机X射线摄影曝光条件的研究  

Exploration of the exposal condition of manunography with computed radiology

作　　者：丁文洪[1] 詹灵[1] 陈英[1] 章伟敏[1] 

机构地区：[1]浙江大学医学院附属第二医院放射科,杭州310009

出　　处：《中华放射医学与防护杂志》2008年第4期410-412,共3页Chinese Journal of Radiological Medicine and Protection

基　　金：浙江省医药卫生科技基金资助项目（2004A039）

摘　　要：目的 通过比较乳腺摄影屏-片系统与计算机X射线摄影（CR）系统的曝光条件，以及不同曝光量对乳腺CR影像的影响，探讨乳腺CR摄影条件的优化原则。方法 应用屏．片组合和CR，分别采用26、28、30kv对fluke NA 18—220乳腺模体采用自动曝光控制（AEC）模式进行摄影，并记录曝光量数值（mAs），对CR影像进行处理。同时CR采用上述相同kV、照射野，以及不同的曝光量对模体进行摄影，并对CR影像进行不同的处理。所获图像由4位放射医师进行双盲阅片，按照美国放射学会（ACR）的评分标准评价打分。结果 采用自动曝光模式，乳腺CR摄影的曝光量明显高于传统屏-片组合的曝光量；乳腺CR摄影的曝光量降低到标准自动曝光模式的1／2．1／3时仍能满足诊断要求，此时的曝光量较屏-片组合采用自动曝光模式的曝光量低。结论 乳腺CR摄影采用不经重新校正的自动曝光模式时，曝光量明显增加；符合诊断要求的乳腺CR摄影所需曝光量可低于屏一片组合，合理使用CR是降低乳腺CR摄影剂量的关键。Objective To explore the optimal condition of mammography on computed radiology system （CRS） through comparing the exposal condition of mammography using radiology screen or film system （RSFS） and CRS, as well as the effect of different doses for CRS images. Methods The fluke NA18-220 mammographic phantom were photographed with 26, 28 and 30 kV X-ray in automatic exposure control （AEC） model. And the exposure doses were recorded, the CRS images were processed. Subsequently the same mammographic phantom were photographed with the same kV of X-ray and irradiation field as well as different exposure doses in same model, and the CRS images were processed again. The images of SFS and CRS were read by four independent radiologists under mixed condition. The images of calcification, nylon fibers and masses were assessed by the four experienced readers according to the criterion of American College of Radiology. Results On the AEC model, the exposed dose of CRS was higher than that of RSFS, but the exposure dose lowered to the 1/2-1/3 of the former, the image quality may satisfy the clinical demand, and the exposed dose was lower than SFS. Conclusions The exposed dose may rise distinctly if the image is taken on CRS with no calibration AEC, and the image may satisfy the clinical demand with lower exposed dose than RSFS. So how to use CRS reasonably plays a key role in mammography.

关 键 词：乳腺X射线照相术 计算机X射线摄影系统 乳腺摄影屏-片系统 影像质量 辐射剂量 

分 类 号：R816.4[医药卫生—放射医学]